Individual provider · Type 1 NPI

Lisa J. Trickey, PA C

Medical Physician Assistant · Watertown, NY

NPI number 1225030752 Active

Practice location

1340 Washington St
Watertown, NY 13601-4541

Call (315) 782-9003 Map

Fax (315) 782-9010

Mailing address

53-59 Public Square, Internal Medicine Of Northern New York Suite 201
Watertown, NY 13601-2674

Other practice locations

  • 53-59 Public Square, Internal Medicine Of Northern New York Suite 201, Watertown, NY 13601-2674 · (315) 782-4950

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0050661 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1225030752

Lisa J. Trickey, PA C's National Provider Identifier is 1225030752, issued on Aug 15, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Watertown, NY. The record was last updated on Mar 7, 2023.